Exercise adherence or maintenance among older adults: 1-year follow-up study.

Follow-up evaluation was conducted of 101 older men and women (mean age = 67 +/- 5 years) who had participated in a randomized study of physiological and psychological effects of aerobic exercise. Eighty-five subjects completed the follow-up evaluation, and almost all of them (94%) reported continuing with physical activity, as assessed by a self-report measure. Total energy expenditure was calculated as an indicator of exercise maintenance, and energy expenditure at follow-up was predicted from measures of physiological functioning, psychological well-being, and cognitive functioning obtained at the conclusion of the structured exercise program. Greater cardiorespiratory endurance, faster psychomotor speed, and lower anxiety predicted exercise behavior at follow-up, accounting for 13% of the variance in exercise behavior. Gender was not a significant predictor of exercise behavior.     

Effects of consistent aerobic exercise on the psychological functioning of women

Effects of consistent aerobic exercise on depression, anxiety, and health locus of control for a group of nonclinical inactive women were investigated. Type A and Type H (hard-driving) behavioral styles were evaluated to determine whether these traits were related to exercise improvement. 26 women were randomly assigned to either an exercise group (n = 10) or exercise with cognitive strategy instructions (n = 16). All subjects increased distance run in 12-min. run test from pre- to posttest. Women improved in depression and trait anxiety. Depression was significantly correlated with body mass index at end of program. Posttest state-anxiety was significantly correlated with 6-wk. follow-up of exercise frequency. No significant difference in pre- and posttest health locus of control was found. Type H scores were significantly correlated with number of exercise sessions attended. Consistent aerobic exercise had a positive effect on psychological functioning, and some characteristics may affect exercise improvement.     

基于微信平台的研究生积极心理干预

积极心理学提出三件好事(three good things,TGT)练习可有效减轻抑郁症状,提升幸福感和心理健康。为检验基于微信社交平台的“三件好事”练习(TGT-SN)能否提升幸福感,本研究招募北京某高校研究生232名,自愿加入三个被试组(TGT-SN组133人,TGT组53人,对照组46人),体验、评估40天TGT前后及干预后一个月幸福感、抑郁水平、人际关系以及干预效果。研究发现抑郁得分持续改善,其他问卷得分无显著差异,但被试自评干预效果评估确认练习有积极作用。TGT练习效果有限,涉及方法有效性、样本量、参与者动机以及外部影响因素等,未来可基于优秀传统文化开展进一步研究以提高被试依从性及主动健康行为。     

Current issues and new directions in Psychology and Health: The costs and benefits of self-regulation – a call for experimental research

Abstract

This study was designed to assess the effects of exercise on psychological functioning in healthy Type A men. Seventy-three middle-aged men (M=42.2 years) were randomly assigned either to an aerobic exercise (AE) training group or to a strength and flexibility (SF) training group. Subjects completed a comprehensive psychological assessment battery prior to beginning the 12-week exercise programs, and after completing the programs. The psychological test battery included measures of depression, anxiety and stress, as well as various psychiatric symptoms. In addition, subjects underwent graded exercise treadmill tests (ETT) at both times of measurement in order to document changes in cardiorespiratory fitness. Aerobic exercise training consisted of walking, jogging or stair-climbing at an intensity of at least 70% of initial measured maximal oxygen consumption (VO₂max determined during the treadmill test). Strength and flexibility training consisted of circuit Nautilus training with no aerobic exercise. Results at the conclusion of the 12-week programs indicated that [Vdot]O₂max for the AE group increased by 15%, while the SF group did not change. Both groups improved on measures of psychological well-being; however, there were no differential effects of the two exercise programs on measures of psychological functioning. These results suggest that improved cardiovascular fitness is not necessary for psychological improvement among exercise participants.     

RPE at relative intensities after 12 weeks of resistance-exercise training by older adults

The constant-RPE tracking model monitors progress over the course of exercise training. During aerobic exercise, prior work using this model has demonstrated similar relative intensities pre- and posttraining, while the absolute workload increases posttraining. However, the prediction equation associated with these changes has not been examined during resistance training. 22 men and 27 women (M age 64 yr.) participated in a 12-wk. resistance training. Orientation determined resistances associated with RPEs of 4, 5-6, 7-8, and 9 on the OMNI-Resistance Exercise Scale for each of seven exercises for each participant. Individuals trained 3 days a week for 12 wk. Linear regression was used to calculate percent of 1-repetition maximum (%1-RM) at RPE 4, 6, and 8 for the exercises. Paired sample t tests, comparing pre- and posttraining %1-RMs at each RPE, indicated that posttraining %1-RMs were higher for RPE 4 and 6 for each exercise, while at RPE 8, results were significant for only 3 exercises. Thus for at least the RPE 4 and 6, the constant RPE tracking model is appropriate for resistance exercise; however, the equation of prediction appears to differ from that for aerobic exercise. Development of a new prediction equation may be necessary to track relative strength in older adults.     

A prescribed employee fitness program and job-related attitudes

A prescribed physical fitness exercise program was initiated in a small furniture manufacturing plant. The present purpose was to investigate the effect of an intervention to change employees' attitudes and sense of well-being. The objective was to evaluate the changes in employees' attitudes (well-being) attributable to the exercise program. The method of evaluation was the survey administered to a treatment (n = 22) and a mixed (n = 30) control group. A multidimensional attitude survey questionnaire was administered to assess effects over a 6-mo. period. While some changes in job attitudes were observed for the treatment group, those were not the expected changes. Possible explanations for the findings are discussed.     

Compensatory relationship of mechanical energy in paretic limb during sit-to-stand motion of stroke survivors

The sit-to-stand motion is a prerequisite for walking and is therefore frequently performed in daily life. Diseases such as stroke often make performing it challenging. Even the stroke survivors who can stand up, the number of sit-to-stand motions they perform each day is lower than that of healthy adults. The inability of stroke survivors to stand up many times might be due to uneven distribution of mechanical energy expenditure across body parts. However, it was unclear in which body part this mechanical energy expenditure was concentrated, i.e., whether it was due to co-contraction of the paretic limb or compensation by the sound limb. Thus, this study aims to identify which body parts are responsible for mechanical energy expenditure in stroke survivors. Ten stroke survivors and ten healthy adults performed sit-to-stand motion recorded using motion capture cameras. We created a 3-D human model and calculated the mechanical energy expenditure for each joint and segment. The stroke survivors expended more mechanical energy in the affected hip and waist in contrast to the affected knee. Notably, a compensatory relationship for mechanical energy expenditure was observed between adjacent joints on the affected side and not between the affected and sound limbs. This is because stroke survivors may have achieved the sit-to-stand motion by compensating for the distal part with the less impaired proximal part. In addition, the more severe the movement disorders, the more mechanical energy must be expended in the paretic hip to achieve the sit-to-stand motion. These results could contribute to fundamental knowledge about more comfortable daily living in stroke survivors.     

Effects of an Islamic-based gratitude strategy on Muslim students’ level of happiness

This study examined the effects of an Islamic-based expressive gratitude strategy in comparison to a secular-based expressive gratitude strategy and a control group in enhancing Muslims’ level of happiness. It was hypothesised that practising the Islamic-based gratitude exercise (by associating blessings with Allah) would result in higher happiness level over time, compared to the happiness level of Muslim participants practising the secular-based gratitude exercise (without specific association) or the control group (attending to details of daily life). Sixty students were randomly assigned into one of three groups and over a period of 16 days were asked to practise the respective exercises daily. They were assessed for pre- and post-happiness measures. Results generally supported the hypothesis, and suggested that the Islamic-based gratitude is beneficial in raising participants’ happiness level, as it fits with their beliefs and values. Implications of the results for including Islamic-oriented intervention to promote Muslim happiness are discussed.     

IDENTITY SUPPORT, IDENTITY DEVALUATION, AND WELL-BEING AMONG LESBIANS

This research tested predictions about the association of identity support and identity devaluation with psychological well-being (self-esteem, life satisfaction, and depression). Lesbian women completed baseline surveys ( N = 42), then provided daily experience reports during a 2-week period ( n = 38), and completed a 2-month follow-up survey ( n = 34). Several types of evidence consistently demonstrated the importance of identity support for well-being. Lesbians who reported more identity support scored higher on measures of well-being at initial assessment, during the daily phase of the study, and at the follow-up. Comparable results were found for the negative association between identity devaluation and well-being. Identity measures proved to be significant predictors of lesbians' well-being even after controlling for other types of support and social stress. Both identity support and identity devaluation contributed independently to the prediction of daily self-esteem and life satisfaction. Strengths and limitations of this study are discussed.     

The Design and Evaluation of a Hope Enhancement Programme for Adults

The study evaluated the effectiveness of a hope enhancement programme for a group of adults and its impact on general psychological well-being. The intervention programme focused on participants' abilities to set feasible goals, planning ways to reach those goals (pathways) and increase determination and motivation (agency) to reach these goals. The workshop-format programme, consisted of six two-hour sessions conducted over five days. A pre and post-test design included an experimental group (n = 8), control group (n = 8) and ‘chat group’ (n = 8). Findings indicated that the programme increased hope levels of the experimental group as indicated by the Hope Scale and the Hopefulness Subscale of the Hunter Opinions and Personal Expectations Scale. Well-being also improved as indicated by a significant increase in sense of coherence along with a positive change in satisfaction with life. Recommendations for future research were made.     

The relationship between exercise motives and psychological well-being

The aim of the present study was to use the self-determination model of exercise motives to examine the relationship between extrinsic and intrinsic motives for exercise and a number of measures of psychological well-being. Undergraduate students purporting to exercise regularly (N = 227; 102 men, 125 women) were split into 2 groups: those exercising for less than 6 months and those exercising for 6 months or more. The respondents were asked to complete measures of exercise motivation, self-esteem, psychological well-being, and stress. Among individuals exercising for less than 6 months, a number of extrinsic motivations for exercise were significantly related to poorer psychological well-being. Among individuals exercising for 6 months or more, a number of intrinsic motivations were significantly related to better psychological well-being. The present findings suggest that researchers can use self-determination theory to understand the relationship between exercise motivation and psychological well-being.     

Autonomy Support and Need Satisfaction in the Motivation and Well-Being of Gymnasts

This study examined the effects of young athletes' perceptions of support from coaches and parents on their need satisfaction, motivation, and well-being. Using the framework of self-determination theory (Ryan &Deci, 2000b), a 4-week diary study of 33 female gymnasts from the northeastern U.S. was conducted that examined (a) the relations of perceived parent and coach supports to the athlete's enduring and daily motivation and need satisfaction and (b) how daily motivation and psychological need satisfaction during practice affects athletes' well-being. Results obtained using hierarchical linear modeling (HLM) revealed that, as predicted, daily motivation predicted pre-practice well-being, and that changes in well-being from pre- to post-practice varied systematically with the need satisfaction experienced during practice. Discussion highlights the importance of adult supports for adolescent sport participants to ensure need satisfaction, and the advantages of diary methodologies in sport research.     

Long-term effects of lifestyle changes on well-being and cardiac variables among coronary heart disease patients

OBJECTIVE: To focus on psychological well-being in the Lifestyle Heart Trial (LHT), an intensive lifestyle intervention including diet, exercise, stress management, and group support that previously demonstrated maintenance of comprehensive lifestyle changes and reversal of coronary artery stenosis at 1 and 5 years. DESIGN AND MAIN OUTCOME MEASURES: The LHT was a randomized controlled trial using an invitational design. The authors compared psychological distress, anger, hostility, and perceived social support by group (intervention group, n = 28; control group, n = 20) and time (baseline, 1 year, 5 years) and examined the relationships of lifestyle changes to cardiac variables. RESULTS: Reductions in psychological distress and hostility in the experimental group (compared with controls) were observed after 1 year (p < .05). By 5 years, improvements in hostility tended to be maintained relative to the control group, but reductions in psychological distress were reported only by experimental patients with very high 5-year program adherence. Improvements in diet were related to weight reduction and decreases in percent diameter stenosis, and improvements in stress management were related to decreases in percent diameter stenosis at both follow-ups (all p < .05). CONCLUSION: These findings illustrate the importance of targeting multiple health behaviors in secondary prevention of coronary heart disease.     

Reaction time unchanged in older women following aerobic training

The effect of aerobic exercise on reaction time in older women was investigated. 14 women (M age = 65 yr.) were carefully screened for health status and lifestyle, then assigned to a random order of the exercise and control groups (ns = 7). Pre- and posttraining tests of aerobic capacity, simple reaction time, and choice reaction time were administered. The exercise group rode a stationary bicycle ergometer for 8 consecutive weeks for 3 35- to 40-min. sessions per week. There were no significant pretraining differences between groups on simple reaction time, choice reaction time, or estimated VO2max. No posttraining differences for simple and choice reaction time were found even though the exercise group had a significantly higher VO2max than the controls. Contrary to some other findings, the data indicate that reaction time may be independent of aerobic training in healthy older women.     

Exercise as a coping strategy and its impact on the psychological well-being of Japanese community-dwelling older adults during the COVID-19 pandemic: A longitudinal study

This study aimed to examine the prevalence of exercise as a coping strategy among Japanese community-dwelling older adults and its impact on their psychological well-being during the COVID-19 pandemic. In October 2019 (baseline [BL]), 720 community-dwelling older adults living in an urban area in Japan participated in a comprehensive health survey. Of these, 618 responded to a mail survey (follow-up [FL]) in June 2020, after the first state of emergency was lifted. Their psychological well-being was assessed using the WHO-5 Well-Being Index (WHO-5). Exercise as a coping strategy during the stay-at-home period was determined at FL by asking respondents whether they had engaged in 1) walking and 2) at-home exercise and strength training to maintain their physical and mental health. Each type of exercise’s impact and the effective exercise combinations were examined. Time and group interaction effects on the WHO-5 scores were investigated using a two-way analysis of covariance. Of the final sample, 65.1% engaged in walking. The WHO-5 mean scores at BL and FL were 16.7 and 15.4 for the walking group and 16.7 and 14.5 for the non-walking group, respectively; interaction for time and group was significant. Additionally, 56.4% of the participants engaged home training. The WHO-5 mean score at BL and FL were 17.5 and 15.5 for the home training group and 15.7 and 14.5 for the no home training group, respectively; there was no significant interaction. Older adults who engaged in both walking and home training received higher score on the WHO-5 than those who engaged in only one activity at FL. The decline in psychological well-being was most attenuated in the walking only group compared to the at-home exercise and strength training groups. Exercise as a coping strategy during the stay-at-home period was associated with psychological well-being, with different impacts observed depending on the type of activity.     

No pain, no gain: Perceptions of calorie expenditures of exercise and daily activities

Reduction in physical activity is considered a major contributor to weight problems. Increasingly, people are expending less energy in household chores but joining fitness clubs. Do people perceive ordinary daily activities to expend less energy than exercise activities using similar amounts of calories? In the present study college students were asked to evaluate the calorie expenditure of 30 physical activities (i.e., exercises and household tasks). The household tasks were matched (in terms of caloric expenditure) to at least one exercise activity. When participants rated both exercise and daily activities, it appears that they focused on rate of caloric expenditure rather than type of activity (i.e., household task or exercise). In Study 2, college students evaluated the energy expenditure of light/leisure, moderate, and intense exercise. This emphasis concerning the benefit of intense physical activity was observed once again. College students appear to have assimilated the belief that intense physical activity expends more energy than longer sessions of lower intensity physical activity using similar amounts of calories. Perhaps one reason why people are not physically active is that they believe physical activities must be intense to be of benefit. At the same time they are automatizing household chores and, thus, become less active overall.     

Validating Measures of Psychological Well-being by Contrasting Samples Employed in Hazardous and Less Hazardous Work

The study investigated whether differences between contrasting groups reflect significant differences in psychological well-being scores. Membership of hazardous vs. less hazardous occupations in the same profession served as proxy measures of well-being. Antonovsky's Sense of Coherence (SOC), Block & Kremen's Ego-resiliency, and Goldberg's Emotional Stability scales were validated. Study 1 compared mine rescue team members and ordinary miners (n = 34, 41) and Study 2 police special task force members and regular officers (n = 43, 41). In Study 1, SOC and job satisfaction predicted group membership. In Study 2, satisfaction with life and extraversion scales predicted group membership, as did SOC in a secondary analysis. The SOC scale could predict psychological well-being in hazardous work settings.     

The Role of Personality Factors in the Dynamics of Context and Psychological Well-Being

The purpose of this study was to determine personality factors that mediate between context and psychological well-being. A convenience sample of 514 mutlicultural participants from Potchefstroom (n=384) and Mafikeng (n=130) comprising mainly of black and white students was drawn. The participants completed measures on extraversion and agreeableness and psychological well-being in a cross-sectional survey. Context was defined in terms of differentials pertaining to race, socioeconomic differentials and infrastructural resources. Regression analyses indicated the viability of relationships among context, personality and psychological well-being. Structural equation models showed that both extraversion and agreeableness mediate the relationship between context and psychological well-being. Future research using longitudinal designs may study the importance of social context, personality factors and psychological well-being within and between groups.     

Development and Initial Validation of a General Psychological Well-being Scale (GPWS) in an African Context

This study aimed to develop and validate the General Psychological Well-being Scale (GPWS) in an African sample, based on the empirical overlap between hedonic and eudaimonic facets of well-being as found in previous research. The quantitative cross-sectional study was conducted in three phases: secondary data analysis (n = 2005), pilot study (n = 296) and main study (n = 459). The pilot and main study included the GPWS as well as other psychological well-being measures for criterion-related validity. The pilot study yielded satisfactory psychometric properties. The main study yielded a high, reliable Cronbach alpha of.89 and evidence of construct validity. The GPWS appears to be a unidimensional scale suitable for research use with Setswana-speaking people.